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South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde

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https://www.readbyqxmd.com/read/30182899/compulsory-community-service-for-doctors-in-south-africa-a-15-year-review
#1
S J Reid, J Peacocke, S Kornik, G Wolvaardt
BACKGROUND: Compulsory community service (CS) for health professionals for 12 months was introduced in South Africa (SA) in 1998, starting with medical practitioners. Up to 2014, a total of 17 413 newly qualified doctors and ~44 000 health professionals had completed their year of service in public health facilities around the country. While a number of studies have described the experience and effects of CS qualitatively, none has looked at the programme longitudinally. OBJECTIVES: To describe the findings and analyse trends from surveys of CS doctors between 2000 and 2014, specifically with regard to their distribution, support, feedback and career plans...
August 30, 2018: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
https://www.readbyqxmd.com/read/30182897/leveraging-the-road-to-health-booklet-as-a-unique-patient-identifier-to-monitor-the-prevention-of-mother-to-child-transmission-programme
#2
A Haeri Mazanderani, G G Sherman, F Moyo, A E Goga, U Feucht
BACKGROUND: Currently there is no unique patient identification system in the South African public health sector. Therefore, routine laboratory data cannot effectively be de-duplicated, thereby hampering surveillance of laboratory-diagnosed diseases such as mother-to-child transmission of HIV. OBJECTIVES: To determine the uptake of Road to Health booklet (RTHB) identifiers at HIV polymerase chain reaction (PCR) birth test and describe their performance in linking follow-up test results in the early infant diagnosis programme...
August 30, 2018: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
https://www.readbyqxmd.com/read/30182896/complete-resolution-of-apparently-definite-radiological-and-histological-usual-interstitial-pneumonia
#3
D Simon, E M Irusen, B W Allwood, J Rigby, C F N Koegelenberg
Idiopathic pulmonary fibrosis is considered to be the most common form of pulmonary fibrosis. It is a progressive and irreversible disease with a reported median survival of ~3 years. The pathological correlate is usual interstitial pneumonia (UIP), and although antifibrotic agents can slow down lung function decline, they do not completely reverse the disease process. To date, there have been no case reports describing reversal of UIP. We present a case where both the imaging and histology were compatible with definite UIP, yet it reversed with immunosuppressive therapy without the use of antifibrotic agents...
August 30, 2018: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
https://www.readbyqxmd.com/read/30182894/termination-of-pregnancy-cultural-practices-the-choice-on-termination-of-pregnancy-act-and-the-constitutional-rights-of-children
#4
D J McQuoid-Mason
The cultural practice of ukuthwala, the abduction for marriage of young girls, violates their constitutional rights and contravenes the Children's and Sexual Offences Act. The provisions of the Choice Act for the third trimester of pregnancy are more onerous than the former Abortion Act and violate the constitutional rights of girls and women who face a serious threat to their physical or mental health or have been raped or subjected to incest. The Choice Act should be amended accordingly. Until it is amended, healthcare practitioners should use the constitutional 'best interests of the child' principle as interpreted by the Children's Act when deciding whether or not to terminate the pregnancy of a child in the third trimester...
August 30, 2018: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
https://www.readbyqxmd.com/read/30182889/medical-students-perceptions-on-euthanasia-and-physician-assisted-suicide-are-they-fully-informed
#5
H Burger, L Gwyther, R Krause, M Ratshikana-Moloko, D Hellenberg
No abstract text is available yet for this article.
August 30, 2018: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
https://www.readbyqxmd.com/read/30182905/alcohol-marketing-and-adolescent-alcohol-consumption-results-from-the-international-alcohol-control-study-south-africa
#6
N K Morojele, C Lombard, N Harker Burnhams, P Petersen Williams, E Nel, C D H Parry
BACKGROUND: A complete ban on alcohol advertisements has been proposed for South Africa (SA), but there has been limited local research on the association between exposure to alcohol advertisements and alcohol consumption. OBJECTIVES: To examine the role of demographic factors, exposure to alcohol marketing and liking of alcohol advertisements in predicting use of alcohol in the past 6 months among older adolescents in Tshwane, Gauteng Province, SA. METHODS: Participants comprised the adolescent sub-sample (N=869) of the International Alcohol Control study survey that was conducted in SA...
August 28, 2018: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
https://www.readbyqxmd.com/read/30182904/clinical-and-pathological-features-of-acral-melanoma-in-a-south-african-population-a-retrospective-study
#7
J De Wet, B Tod, W I Visser, H F Jordaan, J W Schneider
BACKGROUND: Acral melanoma (AM) is a rare subtype of cutaneous melanoma (CM) that disproportionately affects skin of colour and carries a poorer prognosis than other melanoma subtypes. The poor prognosis is attributed to late diagnosis and subsequent relatively high Breslow thickness, but also to an intrinsic biological aggressiveness. Scientific data on AM from the developing world are limited and a need exists to characterise the disease further in the South African (SA) population...
August 28, 2018: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
https://www.readbyqxmd.com/read/30182903/pregnancy-outcome-in-patients-with-pregestational-and-gestational-diabetes-attending-groote-schuur-hospital-cape-town-south-africa
#8
H Van Zyl, N S Levitt
BACKGROUND: The burden of diabetes mellitus (DM) has increased dramatically worldwide. The association between poorly controlled DM and poor pregnancy outcomes has been well described. OBJECTIVES: To describe the pregnancy outcomes of patients with pregestational and gestational DM attending Groote Schuur Hospital, Cape Town, South Africa. METHODS: A retrospective audit was undertaken of all women with pregestational and gestational DM (GDM) who attended Groote Schuur Hospital obstetric care from 1 September 2010 to 31 August 2011...
August 28, 2018: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
https://www.readbyqxmd.com/read/30182902/antibiotic-use-and-resistance-knowledge-attitudes-and-perceptions-among-primary-care-prescribers-in-south-africa
#9
E Farley, A Stewart, M-A Davies, M Govind, D Van den Bergh, T H Boyles
BACKGROUND: Antibiotic resistance (ABR) is a major threat to global health, driven in part by inappropriate prescription of antibiotics in primary care. OBJECTIVES: To describe South African (SA) prescribers' knowledge of, attitudes to and perceptions of ABR. METHODS: We conducted a cross-sectional survey of knowledge of, attitudes to and perceptions of ABR among a convenience sample of primary healthcare providers in SA, the majority from the private sector...
August 28, 2018: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
https://www.readbyqxmd.com/read/30182901/infant-feeding-practices-in-soweto-south-africa-implications-for-healthcare-providers
#10
S Nieuwoudt, L Manderson, S A Norris
BACKGROUND: The 2011 Tshwane Declaration for the Promotion of Breastfeeding in South Africa ended the country's longstanding support for promoting either exclusive breastfeeding (EBF) or exclusive formula feeding for HIV-positive mothers. However, South Africa's EBF rate is only 32%. OBJECTIVES: To describe multilevel factors associated with different infant feeding practices among HIV-positive and negative mothers of infants aged <6 months in an HIV-endemic community...
August 28, 2018: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
https://www.readbyqxmd.com/read/30182900/obstetrics-knowledge-and-skills-training-as-a-catalyst-for-change
#11
R C Pattinson, A-M Bergh, J Makin, Y Pillay, J Moodley, B Madaj, C Ameh, N Van den Broek
BACKGROUND: Poor emergency obstetric care has been shown by national confidential enquiries into maternal deaths to contribute to a number of maternal deaths in South Africa. OBJECTIVES: To assess whether a structured training course can improve knowledge and skills and whether this can influence the capacity of a healthcare facility to provide basic and comprehensive emergency obstetric care signal functions. METHODS: A baseline survey was conducted to assess the seven basic emergency obstetric and neonatal care signal functions in 51 community health centres (CHCs) and the nine comprehensive emergency care signal functions in 62 district hospitals (DHs)...
August 28, 2018: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
https://www.readbyqxmd.com/read/30182898/the-unmet-needs-and-health-priorities-of-the-urban-poor-generating-the-evidence-base-for-urban-community-health-worker-programmes-in-south-africa
#12
A Van Rie, N S West, S R Schwartz, L Mutanga, C F Hanrahan, J Ncayiyana, J Bassett
BACKGROUND: There is a growing interest in involving community health workers (CHWs) into the formal healthcare system in South Africa (SA). OBJECTIVES: To generate evidence for defining CHW tasks in urban SA. METHODS: A cross-sectional survey of residents of Diepsloot, northern Johannesburg, was performed using geographically weighted random sampling, with home-based health assessment and a questionnaire on sociodemographics, medical history, experience of violence, health-seeking behaviour and perceived health priorities...
August 28, 2018: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
https://www.readbyqxmd.com/read/30182895/we-are-tired-of-adrenal-fatigue
#13
I L Ross, J Jones, M Blockman
There are numerous articles in the lay press discussing the existence and under-diagnosis of adrenal fatigue. Proponents of adrenal fatigue state that millions of people have under-active adrenal glands due to repeated stressors, resulting in numerous nonspecific symptoms such as fatigue, insomnia, joint pain and weight gain, among others. In studies to date, proposed methods to assess adrenal fatigue have produced conflicting results and the methodology for assessing the hypothalamic-pituitary-adrenal (HPA) axis has often been inappropriate...
August 28, 2018: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
https://www.readbyqxmd.com/read/30182893/minimum-inhibitory-concentration-guided-antimicrobial-therapy-the-achilles-heel-in-the-antimicrobial-stewardship-agenda
#14
W Lowman
The global problem of resistance to antimicrobials has resulted in a co-ordinated drive to use antimicrobial agents more responsibly. At a clinical level this is promoted through antimicrobial stewardship which demands appropriate use through optimal drug selection. Many factors play a role in this process of selection, antimicrobial susceptibility and the pharmacodynamics of the drug being two key determinants. Yet the detail provided by current diagnostic antimicrobial susceptibility testing is suboptimal and does not allow for adequate dose optimisation...
August 28, 2018: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
https://www.readbyqxmd.com/read/30182892/paediatric-hypertension-in-south-africa-an-underestimated-problem-calling-for-action
#15
J Kagura, K K Ong, L S Adair, J M Pettifor, S A Norris
No abstract text is available yet for this article.
August 28, 2018: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
https://www.readbyqxmd.com/read/30182891/severe-hypercholesterolaemia-with-a-high-risk-of-atherosclerosis-may-be-precipitated-by-a-high-sterol-diet
#16
A D Marais, D Segal
No abstract text is available yet for this article.
August 28, 2018: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
https://www.readbyqxmd.com/read/30182890/to-persuade-or-to-inform
#17
A Barit
No abstract text is available yet for this article.
August 28, 2018: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
https://www.readbyqxmd.com/read/30182888/the-cape-town-declaration-on-access-to-cardiac-surgery-in-the-developing-world
#18
P Zilla, R M Bolman, M H Yacoub, F Beyersdorf, K Sliwa, L Z├╝hlke, R S D Higgins, B Mayosi, A Carpentier, D Williams
Twelve years after cardiologists and cardiac surgeons from all over the world issued the 'Drakensberg Declaration on the Control of Rheumatic Fever and Rheumatic Heart Disease in Africa', calling on the world community to address the prevention and treatment of rheumatic heart disease (RHD) through improving living conditions, to develop pilot programmes at selected sites for control of rheumatic fever and RHD, and to periodically review progress made and challenges that remain, RHD still accounts for a major proportion of cardiovascular diseases in children and young adults in low- and middle-income countries, where more than 80% of the world population live...
August 28, 2018: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
https://www.readbyqxmd.com/read/30182887/in-the-aftermath-of-a-suicide-any-lessons-from-the-sorrow
#19
D J Stein
No abstract text is available yet for this article.
August 28, 2018: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
https://www.readbyqxmd.com/read/30182914/hepatocellular-carcinoma-in-sub-saharan-africa-the-way-forward
#20
E Jonas
Michael Kew's academic career spans five decades, representing the most proliferative and pioneering years of the expanded knowledge on all aspects of hepatocellular cancer (HCC). The preceding articles in this Festschrift bear testimony to his legacy, engagement, enthusiasm, dedication and ability to inspire others. His enormous contribution, mostly originating from research in sub-Saharan Africa (SSA), contributed immensely to the knowledge and evidence on which current understanding of the disease is based...
August 8, 2018: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
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